| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $4,073.80 | $15,135.61 | |
BCBS
| Facility | $144.54 | $144.54 | $724.44 | |
Health Alliance Plan
| Facility | $676.08 | $4,073.80 | $6,918.31 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |